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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Anal Pain While Passing Wind?

I am a 43 year old male very fit and train 4 times a week, i do drink at the weekend but not in the week, over the last three months I have had slight pile trouble and have used about 4 tubes of cream in that time they only seem small and on the inside but more worrying recently is I have been experiencing pain which can be quite bad when I break wind any Ideas. I have finally booked a doctors appointment for this Monday to get it sorted but I am getting worried. Thanks
Tue, 26 Dec 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood the concerns.
Pile or fissure in ano can be diagnosed only by per-rectal digital examination and ano-proctoscopy.
Hence you trouble like pain while passing wind, and piles should be diagnosed by an appropriate examination to know the exact diagnosis so that an appropriate management can be done.
It is good that you have taken an appointment with you Doctor, get examination done if available with your Doctor or get a referral for a Specialist.
Till then do the following:
Stop using any local ointments.
Sitz bath in a tub with warm water.
Laxatives if there is passage of hard stools.
Reduce stress and anxiety.
Send samples of stool and blood for lab tests.
Final treatment will depend upon the final diagnosis thus made.
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What Causes Anal Pain While Passing Wind?

Hi. Thanks for your query. Noted the history and understood the concerns. Pile or fissure in ano can be diagnosed only by per-rectal digital examination and ano-proctoscopy. Hence you trouble like pain while passing wind, and piles should be diagnosed by an appropriate examination to know the exact diagnosis so that an appropriate management can be done. It is good that you have taken an appointment with you Doctor, get examination done if available with your Doctor or get a referral for a Specialist. Till then do the following: Stop using any local ointments. Sitz bath in a tub with warm water. Laxatives if there is passage of hard stools. Reduce stress and anxiety. Send samples of stool and blood for lab tests. Final treatment will depend upon the final diagnosis thus made.